Insurance Bad Faith

HMO and Medical Business Misconduct

It seems that everybody has a horror story about how an HMO or medical business has handled a medical situation.

In some instances it seems that decisions about health care are being made by non-physicians or by doctors you never meet and who have little to do with taking care of you. Sometimes HMOs or medical businesses even offer doctors and hospitals financial incentives to provide lower cost medical care.

These decisions may have disastrous medical or financial results for you and your family.

These companies are afforded special protections under the law because of the lobbying of your politicians by the strong insurance companies and HMOs.

HMO and medical business misconduct comes in many forms.

The protections these companies have been given under the law make these types of cases some of the most difficult to fight and to get you the justice you deserve and need.

However, if anyone can break the back of these corporate wrongdoers, Dr. Heimberg can.

Dr. Heimberg is not only a medical doctor and an award-winning trial lawyer, but is one of the few plaintiff attorneys in the country with special training and experience in health systems law and health economics.

Dr. Heimberg’s unique set of skills and experiences have allowed him to be successful in a number of cases against HMOs and medical businesses. In fact, he has been so successful in having HMOs removed from the protection of MICRA that he has positively affected California law.

Common Types of Cases

You may have a case against your HMO or one of these businesses if the treatment you received falls into one of the following categories:

including and enforcing a mandatory arbitration clause in enrollment forms that is not obvious and eliminates the patient’s right to sue;

postponement of medical treatment;

ending medical treatment too early;

failure to inform of needed treatment or tests;

failure to inform of benefits and risks;

death of a loved one who was not provided necessary medical treatment;

medical malpractice by doctors, nurses or other HMO medical personnel;

providing partial treatment, but not to the extent needed;

inadequate staffing, training, or supervision of staff;

persons performing functions beyond or outside of their training;

intentional negligence.

Why Heimberg Barr

Dr. Steven Heimberg possesses a very rare and dangerous (for his opponents) background. He is a medical doctor as well as a lawyer. This allows him to recognize the full extent of medical issues resulting from injuries caused by HMO and medical business misconduct, uncover hidden facts, decipher complicated medical records, recruit top medical experts, and simplify and communicate the full impact of life altering injuries to juries so that they also understand and can award just damages.

Dr. Heimberg and his team of Los Angeles medical malpractice attorneys have decades of experience facing down insurance companies and their lawyers. They know the medical and legal issues inside and out and they know how to hold insurance companies accountable. They know what it takes to get insurance companies to do their job and pay claims that should be paid. That knowledge combines with a passionate commitment to justice and a rigorous work ethic to form the foundation on which Heimberg Barr is built.

Reasons to File a Case

Chances are, you paid a lot for your HMO or medical insurance, maybe for years, and you rightly expected to get something for your payments. Your insurance, your HMO, was supposed to be there for you when you needed them to do their job and that’s why you paid them.

No one pays for medical insurance expecting to be cheated, denied necessary medical care or given substandard care instead.

If you were injured through the bad act of an HMO or insurance company’s failure to do it's job, you deserve to be compensated for your pain and suffering and the loss of enjoyment of life, but, most importantly, you deserve to be free from your new financial hardships. You may no longer be able to work to support yourself and your family, to pay for your mounting medical bills, or to afford the extra costs of hiring help to do what you can no longer do around the house.

Payment for your or a family member’s injuries or for the unnecessary death of a loved one is often critical to your and your family’s future.

Yet in most cases you will face an army of lawyers and the resources of a mega-corporation fighting you in order to avoid providing you the money you desperately need. In other words, their whole focus is to avoid claims or to settle with you for the least amount of money possible.

Insurance companies and HMO’s have attorneys on their side, working to try to prevent them having to pay out claims. You need knowledgeable, experienced lawyers who know how to beat them on your side.

Contact Us for a Free Consultation

If you think you or a family member is a victim of HMO or medical business misconduct, contact us for a free consultation.

Courts and the law limit the amount of time you have to file a claim after your injury. If you or a loved one have been the victim of HMO or medical business misconduct, it is important to prepare and file your claim as quickly as possible.

Though we understand that this is an excruciatingly difficult time for you, please be aware that it is critical that an investigation into the facts of the case be undertaken as soon as possible. This is necessary to get information while memories are fresh, before evidence is lost or destroyed and to avoid losing your right to bring a lawsuit.

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